Based on observation, record reviews, and staff interviews, the facility staff failed to ensure that food was prepared in a form designed to meet the individual needs for one (1) of six (6) sampled residents who was prescribed a mechanically altered diet. Subsequently, Resident #38 was served roast beef that was not mechanically altered to bite size as prescribed. (Resident #38) The findings included: Resident #38 was admitted on [DATE] with multiple medical diagnoses that included Dysphagia following Cerebral Infarction, Oropharyngeal Disease, Gastrostomy Tube, Gastro-Espohgeal Reflux, and Loss of Teeth. A physician's order dated 02/12/25 instructed Pleasure diet -soft and bite sized texture .upright 90-degree positioning, assist feed, small bites/sips, slow rate . …
F805 citations in District of Columbia
Food in a form residents can eat · Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
District of Columbia cites F805 more often than its own record predicts
2.62 times the share F805 takes of citations nationally.
Of every deficiency written in District of Columbia in 2025, this is the portion that was F805.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What District of Columbia surveyors wrote
F805 findings written in District of Columbia, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
What else District of Columbia surveyors cite →
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